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Robin Rudowitz

@robinr.bsky.social
2.2K followers 137 following 251 posts

VP / Director of the Program on Medicaid and the Uninsured @KFF.org researching #HealthPolicy with a focus on all things related to #Medicaid

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Robin Rudowitz @robinr.bsky.social · 14/04/2026
For the first time since 2019, the number of uninsured increased in 2024 to 26.7 million. Looking ahead, the number of people who are uninsured is expected to continue to increase due to changes to Medicaid and the ACA Marketplace. See must read update: www.kff.org/uninsured/ke...
kff.org
Key Facts about the Uninsured Population | KFF
The number and share of people without insurance grew in 2024, increasing for the first time since 2019, according to KFF's analysis of data from the American Community Survey (ACS). This issue brief ...
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Robin Rudowitz @robinr.bsky.social · 14/04/2026
Many states are in session navigating budgets for the upcoming fiscal year amid more tenuous fiscal conditions and major federal changes to #Medicaid. While debate continues, here is a look at some key issues we are watching as debate unfolds: www.kff.org/medicaid/med...
kff.org
Medicaid and Upcoming State Budget Debates | KFF
This brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenge...
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Reposted by Robin Rudowitz
Larry Levitt @larrylevitt.bsky.social · 03/04/2026
The latest episode of The Pitt shows how people fall through the cracks. A mom works as a hair stylist with unpredictable income and misses the Medicaid renewal notice when they changed apartments. Her teenaged son ends up in the ER because they couldn't afford his asthma drug.
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Robin Rudowitz @robinr.bsky.social · 10/12/2025
See our new resource tracking federal policy changes related to MH and SUD. Content is arranged in chronological order and in 4 domains: Opioids, Mental Health; Federal Infrastructure/Data/Guidance and Gun Violence. It will be updated as new changes occur www.kff.org/mental-healt...
kff.org
Tracking Key Mental Health and Substance Use Policy Actions Under the Trump Administration | KFF
A new KFF tracker highlights key federal policy actions during President Trump’s second term that concern issues related to mental health and substance use. The second Trump administration has emphasi...
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Robin Rudowitz @robinr.bsky.social · 03/12/2025
@kff.org released an interactive tool to track national and state data and policy, federal guidance, state implementation decisions and 1115 waivers related to #Medicaid work requirements. Check it out and bookmark the page as we will be making updates over time www.kff.org/medicaid/med...
kff.org
Tracking Implementation of the 2025 Reconciliation Law: Medicaid Work Requirements | KFF
KFF's interactive tracks key data and policies that will affect how states implement Medicaid work requirements, which are required under the 2025 budget reconciliation law starting in January 2027. T...
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Robin Rudowitz @robinr.bsky.social · 01/12/2025
The 2025 reconciliation law imposes restrictions on states’ ability to generate #Medicaid provider tax revenue - for details check out our updated @kff.org brief: www.kff.org/medicaid/5-k...
kff.org
5 Key Facts About Medicaid and Provider Taxes | KFF
This issue brief uses data from KFF’s 2025-2026 survey of Medicaid directors to describe states’ current provider taxes, explore how the 2025 reconciliation law changed the federal rules governing pro...
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Reposted by Robin Rudowitz
KFF @kff.org · 21/11/2025
Forty-one states have waiting or interest lists for people seeking home care through Medicaid. In 2025, 29 states reported an increase in their home care waiting lists, while only 12 states reported a decrease:https://on.kff.org/48fSeu7
Bar chart shows the number of people in 1000s on home care waiting or interest lists by whether or not states screens people on any waiting lists for eligibility prior to adding them to the list. The chart shows that a disproportionate number of people on waiting lists for home care live in states that don’t assess eligibility for people waiting.
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KFF @kff.org · 21/11/2025
Medicaid’s significant spending on home care and the mechanisms available to limit this spending could spur states to cut home care services in response to the recently-enacted reconciliation law: on.kff.org/48so73J
Bar chart shows the number of states reporting each type of cap on waiver spending or enrollment for any home care waiver, among the 49 states and DC that responded to the survey. The chart shows that nearly all states manage Medicaid home care spending with caps on spending or enrollment or by limiting services.
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Robin Rudowitz @robinr.bsky.social · 15/11/2025
@kff.org released our 25th Annual Survey of state #Medicaid programs with lots of detailed information about state policy choices related to provider rates and taxes, benefit, delivery systems and prescription drugs. Check it out: www.kff.org/medicaid/50-...
kff.org
A View of Medicaid Today and a Look Ahead: Balancing Access, Budgets and Upcoming Changes | KFF
This report highlights key policy priorities and issues state Medicaid programs focused on in FY 2025 and are prioritizing in FY 2026.
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Reposted by Robin Rudowitz
KFF @kff.org · 11/11/2025
The share of veterans enrolled in Medicaid varies across states, ranging from as low as 6% in North Dakota and New Hampshire to as high as 15% in Louisiana, Montana, New Mexico, and New York. on.kff.org/4p2i3Vl
Map of the United States showing the share of veterans ages 19 and older enrolled in Medicaid by state, categorized in three groups: 6%-8%, 9%-12% and 13%-15%. States are color-coded. Source: KFF estimates based on the 2023 American Community Survey, 1-Year Estimates
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Robin Rudowitz @robinr.bsky.social · 31/10/2025
Nearly 7 in 10 adolescents reported receiving substance use disorder and prevention education at school and over 480,000 adolescents received substance use treatment at school in 2023, underscoring that schools are an important access point for these services among youth. www.kff.org/mental-healt...
kff.org
How Schools Have Responded to the Youth Fentanyl Crisis | KFF
With the onset of the COVID-19 pandemic, deaths due to drug overdose among adolescents more than doubled, primarily driven by the synthetic opioid, fentanyl.
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Robin Rudowitz @robinr.bsky.social · 31/10/2025
New @kff.org brief outlines key challenges identified by states related to implementation of new #Medicaid work requirements. Understanding these challenges may help inform the content and timing of forthcoming federal guidance. www.kff.org/medicaid/cha...
kff.org
Challenges with Implementing Work Requirements: Findings from a Survey of State Medicaid Programs | KFF
To better understand how states are preparing for Medicaid work requirements, states were asked to discuss anticipated challenges to implementing work requirements by the end of 2026, including relate...
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Reposted by Robin Rudowitz
KFF @kff.org · 28/10/2025
Across all states, benchmark ACA premiums will rise an average of 26% next year, though most enrollees would see sharper increases if the enhanced tax credits expire. KFF’s Cynthia Cox explains the numbers. #QuickTake on.kff.org/3WNhiDz
KFF graphic featuring a quote from Cynthia Cox, KFF Vice President and Director of the Program on the ACA. It says, “The amount health insurers charge for coverage on the ACA Marketplaces is rising 26%, on average, in 2026... Most enrollees would face even sharper increases in what they pay if they ACA’s enhanced premium tax credits expire.”
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Robin Rudowitz @robinr.bsky.social · 21/10/2025
A number of federal policy changes could have implications for #Medicaid and children's health - here are 5 key issues we are watching: www.kff.org/medicaid/med...
kff.org
Medicaid and Children’s Health: 5 Issues to Watch Amid Recent Federal Changes | KFF
Major federal changes to Medicaid and other health-related policies could impact children’s health in the coming years. This issue brief explores the latest data on Medicaid and children’s health and ...
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Reposted by Robin Rudowitz
KFF @kff.org · 09/10/2025
⚡ KFF’s @ashleykirzinger.bsky.social breaks down KFF polling showing broad public support for extending the enhanced ACA premium tax credits — and what’s likely driving that rare agreement across party lines. #QuickTake on.kff.org/4n3Gjox
KFF graphic featuring a quote from Ashley Kirzinger, KFF’s Director of Survey Methodology; Associate Director for Public Opinion and Survey Research. It says, “The debate over these enhanced tax credits can be seen as a proxy for the broader public’s concerns about health care affordability which may be why the public is largely in favor of extending these subsidies – even as overall views of the ACA are still very polarized.”
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Robin Rudowitz @robinr.bsky.social · 22/09/2025
#Medicaid is a major source of coverage for people with intellectual and developmental disabilities - see @kff.org new brief with 5 key facts: www.kff.org/medicaid/5-k...
kff.org
5 Key Facts About Medicaid Coverage for People With Intellectual and Developmental Disabilities (I/DD) | KFF
Among the estimated 8 million people with intellectual and developmental disabilities (I/DD), over three million have Medicaid coverage.
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Robin Rudowitz @robinr.bsky.social · 22/09/2025
HR 1 includes a 10-year moratorium on implementation or enforcement of provisions in two #Medicaid rules finalized that would have reduced admin burdens to make it easier for people to enroll in and maintain Medicaid and CHIP coverage. See what provisions are affected: www.kff.org/medicaid/the...
kff.org
The Impact of H.R. 1 on Two Medicaid Eligibility Rules | KFF
This issue brief describes the impact of H.R.1's 10-year delay in implementing provisions in two Medicaid eligibility rules that would have reduced red tape. The delayed rules are projected to decreas...
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Reposted by Robin Rudowitz
Larry Levitt @larrylevitt.bsky.social · 18/09/2025
New from CBO: Extending enhanced ACA premium tax credits, due to expire at the end of this year, would prevent 3.8 million more people from becoming uninsured. It would cost $350 billion over 10 years. www.cbo.gov/publication/...
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Larry Levitt @larrylevitt.bsky.social · 17/09/2025
15 years after it passed, we're still debating Obamacare. www.washingtonpost.com/politics/202...
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Robin Rudowitz @robinr.bsky.social · 12/09/2025
Thanks @larrylevitt.bsky.social for highlighting some potential real-life stories of what could happen because of cuts to Medicaid and the ACA. jamanetwork.com/journals/jam...
jamanetwork.com
Potential Storylines From Trump-Era Health Care Cuts
This JAMA Forum discusses the ramifications of the Republican tax and spending law and presents storylines that may be used in the next season of the television show The Pitt to illustrate these healt...
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Reposted by Robin Rudowitz
KFF @kff.org · 12/09/2025
An uninsured Uber driver with cancer who dropped their ACA coverage due to cost. An ill construction worker who lost Medicaid due to work requirements. Just 2 of @larrylevitt.bsky.social’s potential stories for #ThePitt based on federal health cuts: on.kff.org/4mWIiLY @jamahealthforum.com
Quote on a green background by Larry Levitt, KFF Senior Vice President for Health Policy. It says, "Even though the cuts to Medicaid and the ACA will likely lead to millions of people losing their health coverage, many of the changes are highly technical and will take years to play out. In the meantime, shows like The Pitt could play a role in making the coming changes to health care tangible by using entertainment to educate people about health care policy."
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Liz Williams @liz-williams.bsky.social · 12/09/2025
FL's recent announcement of plans to eliminate school vaccination requirements would make them the first and only state to do so. Our NEW @kff.org piece examines school vaccine requirements (and exemptions to requirements) and recent changes across the states: www.kff.org/state-health...
kff.org
A Look at Recent Changes to State Vaccine Requirements for School Children | KFF
This policy watch examines state-by-state school vaccine requirements and exemptions, including recent policy changes to them and the extent to which they may affect vaccination rates.
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Robin Rudowitz @robinr.bsky.social · 12/09/2025
Amid declining vaccine rates for children, check out new @kff.org brief examining recent state policy changes to school vaccine requirements. www.kff.org/state-health...
kff.org
A Look at Recent Changes to State Vaccine Requirements for School Children | KFF
This policy watch examines state-by-state school vaccine requirements and exemptions, including recent policy changes to them and the extent to which they may affect vaccination rates.
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Reposted by Robin Rudowitz
KFF @kff.org · 10/09/2025
Four experts, including two state Medicaid directors, will join Health Wonk Shop series moderator @larrylevitt.bsky.social for a discussion on how states will go about implementing the new Medicaid work requirements. RSVP to join the discussion tomorrow at noon ET: on.kff.org/4pcnFwV
KFF graphic for Health Wonk Shop event on September 11 at 12 PM ET, discussing "How Will States Implement Medicaid Work Requirements?"
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Robin Rudowitz @robinr.bsky.social · 10/09/2025
Thank you @punchbowlnews.bsky.social for the invitation to share @kff.org data about #Medicaid and #ruralhealth on a panel with Emily Holubowich, American Heart Association; Dr. Torey Mack, Children’s Hospital Association; and Dr. Julie Yaroch, ProMedica Charles & Virginia Hickman Hospital
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KFF @kff.org · 10/09/2025
While the uninsured rate held steady at 8.0% in 2024, the pending expiration of enhanced ACA premium tax credits & changes to Medicaid and the Marketplaces in the reconciliation law are expected to boost the number of uninsured people in the coming years. on.kff.org/4nsJ0kc
A graphic from KFF featuring a quote by Jennifer Tolbert, Director of State Health Policy and Data, Deputy Director Program on Medicaid & Uninsured, KFF. The quote reads: “While robust Marketplace enrollment helped keep the uninsured rate low in 2024, the expiration of the enhanced premium tax credits for Marketplace enrollees, which will happen at the end of 2025 unless Congress acts to extend them, will increase the number of people without health insurance.”
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Robin Rudowitz @robinr.bsky.social · 09/09/2025
To provide historical context for how changes to #Medicaid spending may impact national health spending trends, @kff.org brief explores how Medicaid spending has contributed to national health spending trends and how different service areas contribute to Medicaid costs. www.kff.org/medicaid/5-k...
kff.org
5 Key Facts about Medicaid’s Share of National Health Spending | KFF
To provide historical context for how changes to Medicaid spending may impact national health spending trends, this brief explores how Medicaid spending contributes to national health spending and how...
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Robin Rudowitz @robinr.bsky.social · 09/09/2025
New @kff.org brief examines data about homelessness - rates are going up: www.kff.org/medicaid/fiv...
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Robin Rudowitz @robinr.bsky.social · 09/09/2025
Lots of attention on vaccines - want to understand state data about exemption rates for kindergartners - see @kff.org State Health Facts: www.kff.org/state-health...
kff.org
Vaccination Exemption Rates Among Kindergartners | KFF State Health Facts
State level data on Vaccination Exemption Rates Among Kindergartners from KFF, the leading health policy organization in the U.S.
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Robin Rudowitz @robinr.bsky.social · 09/09/2025
Still time to sign for a @kff.org Wonkshop about #Medicaid and work requirements: www.kff.org/event/how-wi...
kff.org
How Will States Implement Medicaid Work Requirements? | KFF
Four experts, including two state Medicaid directors, will join Health Wonk Shop series moderator Larry Levitt in an hour-long discussion of how states will go about implementing the new Medicaid work...
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Reposted by Robin Rudowitz
Ashley Kirzinger @ashleykirzinger.bsky.social · 06/08/2025
Yesterday's HHS mRNA announcement will likely just add to the ongoing confusion and partisan divide on mRNA technology www.kff.org/quick-take/h...
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Robin Rudowitz @robinr.bsky.social · 05/08/2025
As kids get ready to head back to school - routine vaccination rates for kindergarten children continue to decline in the U.S., while exemptions from school vaccination requirements, particularly non-medical exemptions, have increased. www.kff.org/medicaid/iss...
kff.org
Kindergarten Routine Vaccination Rates Continue to Decline | KFF
This issue brief provides an update on the latest trends in kindergarten children's routine vaccination and exemption rates. Over three-quarters (39) of states had measles, mumps, rubella (MMR)vaccina...
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Robin Rudowitz @robinr.bsky.social · 04/08/2025
@kff.org also posted a detailed summary of the new law: www.kff.org/medicaid/iss...
kff.org
Health Provisions in the 2025 Federal Budget Reconciliation Law | KFF
On July 4, President Trump signed the budget reconciliation bill, previously known as the “One Big Beautiful Bill Act,” into law. This summary provides background, description, budgetary impact and re...
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Reposted by Robin Rudowitz
KFF Health News @kffhealthnews.org · 04/08/2025
If you want a covid shot this fall, you may have to pay for it. Check with your employer or insurer before rolling up your sleeve. kffhealthnews.org/news/article...
kffhealthnews.org
Sorting Out Covid Vaccine Confusion: New and Conflicting Federal Policies Raise Questions - KFF Health News
Should you get vaccinated? Will your insurer pay for it? And will you still be able to find a vaccine? KFF Health News tries to sort out where things stand.
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Robin Rudowitz @robinr.bsky.social · 04/08/2025
Trying to keep track of when all of the provisions in the final reconciliation package go into effect - we have you covered - check out new @kff.org timeline: www.kff.org/implementati...
kff.org
Implementation Dates for 2025 Budget Reconciliation Law | KFF
This searchable timeline shows the implementation date for the health care provisions included in the 2025 federal budget reconciliation law. previously known as "One Big Beautiful Bill Act." It inclu...
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Larry Levitt @larrylevitt.bsky.social · 01/08/2025
As the job market stalls, remember that a major piece of the Republican tax and spending law that just passed is a work requirement for Medicaid enrollees.
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Robin Rudowitz @robinr.bsky.social · 28/07/2025
As the 60th anniversary of #Medicaid approaches - be sure to check out the Medicaid chapter in Health Policy 101 - particularly how the program has evolved over time. www.kff.org/health-polic...
kff.org
Medicaid 101 | KFF
This Health Policy 101 chapter explores Medicaid, the primary U.S. program providing comprehensive coverage of health care and long-term services and supports to nearly 90 million low-income people. O...
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Robin Rudowitz @robinr.bsky.social · 28/07/2025
Among #Medicaid enrollees under age 65 – a group that is most likely to be impacted by the health provisions of the reconciliation law, 7 in 10 (69%) view the bill unfavorably. www.kff.org/medicaid/pol...
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Robin Rudowitz @robinr.bsky.social · 28/07/2025
Under the reconciliation package, federal Medicaid spending in rural areas is estimated to decline by $137 billion, more than the $50 billion appropriated for the rural health fund. www.kff.org/policy-watch...
kff.org
How Might Federal Medicaid Cuts in the Enacted Reconciliation Package Affect Rural Areas? | KFF
Under the reconciliation package, federal Medicaid spending in rural areas is estimated to decline by $137 billion, more than the $50 billion appropriated for the rural health fund.
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Robin Rudowitz @robinr.bsky.social · 28/07/2025
@kff.org updated our state estimates of the final reconciliation package based on CBO's national estimates - the new law is expected to reduce federal #Medicaid spending by $911 billion ($990 billion without interactions). www.kff.org/medicaid/iss...
kff.org
Allocating CBO’s Estimates of Federal Medicaid Spending Reductions Across the States: Enacted Reconciliation Package | KFF
This analysis allocates the CBO’s estimated reduction in federal spending in the enacted reconciliation package across states based on KFF’s state-level data and where possible, prior modeling work; a...
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Robin Rudowitz @robinr.bsky.social · 17/07/2025
9 states have waivers that allow for multi-year continuous #Medicaid eligibility for children. New CMS guidance says no new such waivers will be approved and current waivers are time-limited. www.kff.org/report-secti...
kff.org
Section 1115 Waiver Tracker Key Themes Maps | KFF
Section 1115 waivers generally reflect priorities identified by states as well as changing priorities from one presidential administration to another.  The Trump administration’s waiver priorities wil...
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Robin Rudowitz @robinr.bsky.social · 17/07/2025
988 contacts continue to grow; however, significant legislative changes to Medicaid are expected to result in less coverage and funding with implications for access to broader mental health services. www.kff.org/policy-watch...
kff.org
Demand for 988 Continues to Grow at Third Anniversary | KFF
This policy watch examines 988 on its third anniversary, drawing from the latest Lifeline data available through May 2025 and suicide death data from CDC WONDER for the period 2013 to 2023. 988 receiv...
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Robin Rudowitz @robinr.bsky.social · 17/07/2025
The new Rural Health Fund is fund is temporary, covers about 1/3 of the estimated loss of federal #Medicaid funding in rural areas and there is a lot of uncertainty about how the funds will be distributed - check out new brief: www.kff.org/medicaid/iss...
kff.org
A Closer Look at the $50 Billion Rural Health Fund in the New Reconciliation Law | KFF
The new reconciliation law includes a $50 billion rural health fund. This brief describes the rural health fund, explains what the law says about the allocation of funds, and highlights outstanding qu...
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Reposted by Robin Rudowitz
Larry Levitt @larrylevitt.bsky.social · 03/07/2025
The Republican megabill has many parts and was never framed for the public as a health care bill. But, it is the biggest cutback in federal support for health coverage ever.
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KFF Health News @kffhealthnews.org · 03/07/2025
Nineteen states poised to sustain major Medicaid reductions are led by Republican governors. Their silence on the bill’s biggest cuts is giving cover to GOP lawmakers as they seek to slash Medicaid coverage. kffhealthnews.org/news/article...
kffhealthnews.org
GOP Governors Mum as Congress Prepares To Slash Medicaid Spending for Their States - KFF Health News
In 2017, when President Donald Trump tried to repeal Obamacare and roll back Medicaid coverage, Republican governors helped turn Congress against it. Now, as Trump tries again to scale back Medicaid, ...
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Liz Williams @liz-williams.bsky.social · 02/07/2025
The Senate reconciliation bill would cut federal #Medicaid spending by over $200 billion more than the House bill though the increases vary by state. In 14 states, the Senate bill would reduce federal Medicaid spending by at least $5 billion more than the House bill. www.kff.org/quick-take/s...
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Larry Levitt @larrylevitt.bsky.social · 02/07/2025
New: Here’s how much bigger the Medicaid cuts are, by state, in the Senate bill vs. the House. @liz-williams.bsky.social www.kff.org/quick-take/s...
kff.org
Senate Reconciliation Bill Would Reduce Federal Medicaid Spending by Over $200 Billion More Than the House Bill
All states and the District of Columbia will lose more federal Medicaid funding under the Senate-passed bill than under the House-passed bill. In 14 states, the Senate bill would reduce federal Medica...
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KFF @kff.org · 02/07/2025
The “One Big Beautiful Bill” would require states to impose cost-sharing of up to $35 per service for some Medicaid enrollees enrolled through the ACA Medicaid expansion with incomes between 100% and 138% of the federal poverty level. Get the details:
on.kff.org
Cost Sharing Requirements Could Have Implications for Medicaid Expansion Enrollees With Higher Health Care Needs | KFF
This brief uses 2021 Medicaid claims data to examine utilization among Medicaid expansion adults and estimate how much cost sharing these enrollees could be required to pay under the new requirement…
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KFF @kff.org · 02/07/2025
The Senate-passed reconciliation bill would cut federal Medicaid spending by $1 trillion, per CBO. The cuts would represent 15% of federal spending on Medicaid over 10 years — over $200 billion more than the cuts in the House-passed bill. on.kff.org/3ZWnUBp
Chart from KFF showing CBO’s estimated 10-year federal spending cuts by policy in the Senate Reconciliation Bill, focusing on total Medicaid cuts of $1 trillion. The tree map chart splits categories by ACA Expansion (work requirements, provider taxes, eligibility redeterminations, other) and all states (eligibility rule changes, limits on state-directed payments, other, and provider taxes).
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KFF @kff.org · 02/07/2025
#ICYMI: Our summary now compares health care provisions of the reconciliation bill passed by the Senate on July 1 and the House on May 22 with current law in four areas: Medicaid, the Affordable Care Act, Medicare and HSAs. See the details:
on.kff.org
Tracking the Medicaid Provisions in the 2025 Reconciliation Bill | KFF
KFF is tracking the Medicaid provisions in the 2025 federal budget bill, including new Medicaid work and verification requirements and a reduction in the expansion match rate for states that use their...
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